Severe recurrent pneumonia in children: Underlying causes and clinical profile in Vietnam.

BACKGROUND: There is still limited data on severe recurrent pneumonia in children, especially in developing countries as Vietnam. This study was conducted to identify the underlying causes and clinical profile of children with severe recurrent pneumonia admitted to the Pediatric Intensive Care Unit (PICU), National Children's Hospital. METHODS: This was a prospective and descriptive study on 110 children with severe pneumonia admitted to the PICU from November 2019 to August 2020. Data were collected to investigate the clinical profile and underlying diseases. RESULTS: Severe recurrent pneumonia accounted for 29.4%. Underlying causes were diagnosed in 91.8% of sRP children, in which the most common causes were abnormalities in respiratory, cardiovascular system and immune disorders. 74.5% of sRP children admitted to ICU had been previously intubated or ventilated, 34.5% had shock, 7.3% had multiple organ failure. Recurrent lesions on chest x-ray in the same lobe accounted for 18.2%. CONCLUSIONS: The majority of patients with severe recurrent pneumonia had an underlying disease. Comprehensive management is necessary for severe recurrent pneumonia.

Studying central vein catheterization through subclavian vein in pediatric intensive care

The study was conducted on 64 children from 0-14 years old who had indication of central vein catheterization at the Intensive care unit of Central Pediatrics hospital. Results: successful rate 87.5%; unsuccessful rate 12.5%, complication rate 4.7% (common complications were penetrating into artery, catheter migration and pneumothorax), catheter’s head infection was 30.4%, no septicemia caused by catheter. The technique of measuring the position of catheter’s head through skin is correct in 71.4%, incorrect in 28.6% (mainly was turning up the same side and deep into the right heart). The over-5 year patient group had successful rate higher than that of under-5 patient group. There was a correlation between catheter’s head infection rate and the duration of catheter remaining in central vein

Epidemiological characteristics of infected HIV/AIDS in Nam Dinh 1992-2003

The study was to assess the epidemiological characteristics of HIV/AIDS in Nam Dinh 1992-2003. HIV/AIDS endemic has been recorded since 1992. During 1999 - 2004, it has developed very fast. There were 1,276 accumulated HIV cases, 164 AIDS, and 107 deaths of AIDS. 100% of districts and towns or 77% of communes had people infected with HIV. The prevalence of HIV infection is 64/100,000 residents in Nam Dinh town, reached up to 62.3 % of total number of the whole province. The prevalence in injecting drug users is 27.% (2003), in pregnant women and recruits is 0.38% and 0.97%, respectively. The prevalence of HIV infection is increasing both in the vunerable groups and in communities.

Effects of dopamine in management of septic shock in children

The study encountered 16 patients of 1 to 12 years. Admitted to the intensive care Unit of the IPCH. With clinical manifestations septic shock. The patients were given Dopamine (10mcg/kg/min) after adequate fluid repletion of volume 36ml/kg for one hour. But clinical responses were not satisfactory. Results: The manifestation of tissue perfusion showed markedly improved one hour following giving dopamine: disappearing of mottle on the skin and of cooling of the extremities and increasing pulse strength. Improving blood pressure. Increasing diuresis and no change of central venous pressure observed following dopamine from 1 to 5 hour